| NPI | 1861664526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44CS05338200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC15816) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2019-01-09 |